HCPCS D9938
Hospitals report these codes with terse, inconsistent chargemaster text. This plain-English title was written by an AI model from that text and has not been reviewed by a person, so it can be wrong. The prices on this page come straight from hospital filings and do not depend on it.
Original text from hospital filings
FABRICATION OF A CUSTOM REMOVABLE CLEAR PLASTIC TEMPORARY AESTHE
Prices here combine facility and professional fees. See them separately →Experimental
Low
$127
Average
$186
Median
$186
High
$244
Filter by billing methodology
Reflects a negotiated percentage of total billed charges.
| # | Hospital | ||||||
|---|---|---|---|---|---|---|---|
| 1 | The Cleveland Clinic Foundation Cleveland, OH | $130 | $127 | $32 | 26% | — | $51 – $200 |
| 2 | Mary Imogene Bassett Hospital Cooperstown, NY | $260 | $244 | $66 | 27% | — | $101 – $302 |
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